Just as he was sighing, the phone rang again.

The landline in the emergency ward is different from the landline in Director Pan's office. Where did the old director's landline ring, most of them were caused by the administrative work of various departments in the hospital.

When the landline in the emergency ward rings, it is likely that the emergency department sent the patient up, or the emergency department cannot diagnose the patient's condition and needs Zheng Ren's consultation.

Picking up the phone, Zheng Ren answered a few times, stood up and walked downstairs.

"Boss, what's the matter?" asked Su Yun.

"Intestinal obstruction, 15-year-old girl. Zheng Rendao.

"Let's go, let's see. Su Yun followed behind Zheng Ren, and the two went all the way to the emergency department.

Intestinal obstruction, or intussusception in infancy, causes obstruction. Either it is due to old age and reduced bowel function, resulting in obstruction.

At the age of 15 or 6 years, when the body is at its best, intestinal obstruction occurs, which is rare.

When I came to the emergency department, the emergency physician was already flying quickly, and there were a lot of people in the clinic, most of whom were middle-aged and elderly patients over 60 years old.

In this way, most of the young people or young and middle-aged technical backbones who are promising, energetic, and skilled in the Northeast have gone to work in the south. Those who stayed were mainly elderly.

This is a side effect of population loss, and it has just begun, and it will be even worse in the future. It is reflected in the hospital, that is, there are fewer and fewer doctors, and the patients are getting older.

Seeing Zheng Ren coming, the doctor in the emergency department first comforted an old man in front of him, and then hurriedly came to Zheng Ren's side, took Zheng Ren to the emergency treatment room, and said as he walked: "The patient is a 15-year-old female patient who came to our hospital for abdominal pain and vomiting for 2 days. On examination, the patient's abdomen is distended, soft to the touch, and generally tender without rebound tenderness. CT examination of the abdomen showed dilated intestinal loops and abundant fecal stone shadows in the right abdominal cavity. ”

Her voice was a little hoarse, and as soon as she heard it, she knew that she had spoken countless words from the morning to work, and she didn't even have time to drink saliva.

"What did you do?" asked Zheng Ren.

"Hypertonic saline enema, but it doesn't work well. The emergency physician replied, "After the enema, a plain x-ray of the abdomen was done in an upright position, and the small intestine could be seen to expand and increase in volume, and the level of air and fluid appeared. ”

"Hmm. Zheng Ren pondered.

When I came to the disposal room, I saw a girl curled up on the disposal bed, retching, very violently, but she couldn't vomit anything.

A middle-aged woman with an anxious face wiped her tears while gently patting her on the back.

"Mr. Zheng, the film is here, you take a look at it first, I'll go back and get busy. The doctor in the emergency department hurriedly explained a few words to Zheng Ren, and ran back to the consultation room.

Zheng Ren first came to the patient's side, asked the patient to lie flat, curled up his legs, rubbed his hands, raised the temperature of his palms a little, and then began the physical examination.

The patient was thin, with long hair, large, round eyes, and long eyelashes, but eyes filled with tears. This is a natural reaction of the human body caused by violent vomiting, Zheng Ren knows.

"What's your name?" Zheng Ren habitually asked for the patient's information while starting the physical examination, and at the same time as the questioning, his hand was already on the patient's left upper abdomen.

"Brother, my name is Wang Yutong. The girl replied with wide eyes.

"Junior high school or high school?" asked Zheng Ren without a word, his hand running over the patient's abdomen.

Epigastric tenderness is not very significant, but abdominal distension is typical. Up to the left lower abdomen, the patient developed tenderness.

Zheng Ren searched carefully and confirmed the location.

The diagnosis given by the system panel is - intestinal obstruction, La Ponzel syndrome.

Zheng Ren was a little confused, but when he encountered a problem that he didn't understand, especially in front of the patient, pretending to be calm and confident was a necessary basic quality.

After the examination, Zheng Ren patted the girl's shoulder and motioned for her to cover her stomach.

Then come to the reader, and insert the abdominal CT and the upright abdominal plain film into the reader.

As the emergency physician says, typical symptoms of intestinal obstruction. Both liquid level and fecallithiasis are typical.

Zheng Ren groaned.

Su Yun saw that Zheng Ren's expression was abnormal, so he leaned over and asked in a low voice, "Boss, is there anything strange?"

"How much do you know about La Ponzel syndrome?" asked Zheng Ren.

Su Yun didn't expect Zheng Ren to consult himself, and thought he was testing himself. He quickly searched his mind for memories of La Pensel's syndrome.

A genius is indeed a genius, and in terms of memory, there is absolutely no flaw.

Like those who can leave their names in the history books, Su Yun has all these abilities.

In just a dozen seconds, Su Yun searched for information about La Ponzel's syndrome in his memory.

"La Ponzel syndrome, also known as Rapunzel syndrome, is a clinical condition described by Vaughan Jr et al. in 1986. Patients have mild or severe trichotillomania, which is swallowed. The formed gastroliths enter the small intestine, causing abdominal pain, vomiting, nausea, malnutrition, vomiting blood, diarrhea, and in severe cases, intestinal obstruction. Su Yun replied in a low voice, as if he was back on campus, and there was a respected old professor standing next to him.

How can you pass the exam with such a simple question! Su Yun was a little proud.

"Hmm. Zheng Ren nodded after listening to Su Yun's words.

It is very consistent with the patient's symptoms. It seems that it should be swallowed for a long time, and the hair stones formed clog the colon, resulting in obstruction.

The best way to do this kind of intestinal obstruction with a clear cause is to remove it surgically.

Now that it's all confirmed, let's prepare for surgery.

"Patient's family, come on. Zheng Ren greeted.

The patient's mother was taking care of her, and the patient's father followed Zheng Ren out of the treatment room.

"Your daughter, do you usually behave strangely?" asked Zheng Ren.

The patient's father was a little strange and recalled carefully, but he didn't know what Zheng Ren was asking.

"It's okay if you don't know. Zheng Renwen said: "I think that the patient has intestinal obstruction symptoms, and when I watch the film, it is caused by fecal stone blockage, and the laxative enema effect is not good, so I need to do surgery to solve the problem of intestinal obstruction." ”

Zheng Ren did not directly explain the Laponzel syndrome to the patient's father, if that were the case...... I'm afraid that the patient's father will turn his face directly.

There are some things that matter in order.

Solving the intestinal obstruction, the anxious emotions of the patient's parents are relieved, and then holding the hair stone and explaining to them the source of the disease and future treatment is the best option.

The patient's father didn't have any idea, and Zheng Ren said what was what.

Greet Su Yun, admit the patient to the hospital, make preoperative preparations, and go to the stage for surgery.

……

……

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